WILLIES GRILL & ICEHOUSE, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2023: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-04-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 138 |
| Number of retired or separated participants receiving benefits | 2023-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-04-01 | 9 |
| Total of all active and inactive participants | 2023-04-01 | 147 |
| Number of employers contributing to the scheme | 2023-04-01 | 0 |
| 2022: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-04-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-04-01 | 201 |
| Number of retired or separated participants receiving benefits | 2022-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-04-01 | 12 |
| Total of all active and inactive participants | 2022-04-01 | 213 |
| Number of employers contributing to the scheme | 2022-04-01 | 0 |
| 2021: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-04-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-04-01 | 186 |
| Number of retired or separated participants receiving benefits | 2021-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-04-01 | 4 |
| Total of all active and inactive participants | 2021-04-01 | 190 |
| Number of employers contributing to the scheme | 2021-04-01 | 0 |
| 2020: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-04-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 182 |
| Number of retired or separated participants receiving benefits | 2020-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-04-01 | 5 |
| Total of all active and inactive participants | 2020-04-01 | 187 |
| Number of employers contributing to the scheme | 2020-04-01 | 0 |
| 2023: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2023 form 5500 responses |
|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2022 form 5500 responses |
|---|
| 2022-04-01 | Type of plan entity | Single employer plan |
| 2022-04-01 | Plan funding arrangement – Insurance | Yes |
| 2022-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2021 form 5500 responses |
|---|
| 2021-04-01 | Type of plan entity | Single employer plan |
| 2021-04-01 | Plan funding arrangement – Insurance | Yes |
| 2021-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: WILLIES GRILL & ICEHOUSE LLC MEDICAL PLAN 2020 form 5500 responses |
|---|
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | First time form 5500 has been submitted | Yes |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 639214 |
| Policy instance | 1 |
| Insurance contract or identification number | 639214 | | Number of Individuals Covered | 176 | | Insurance policy start date | 2023-04-01 | | Insurance policy end date | 2024-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $33,747 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $335,514 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 165355 |
| Policy instance | 1 |
| Insurance contract or identification number | 165355 | | Number of Individuals Covered | 201 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $5,373 | | Total amount of fees paid to insurance company | USD $3,844 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $928,467 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $5,373 | | Amount paid for insurance broker fees | 3844 | | Additional information about fees paid to insurance broker | OTHER COMMISSIONS, SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 165355 |
| Policy instance | 1 |
| Insurance contract or identification number | 165355 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $4,910 | | Total amount of fees paid to insurance company | USD $2,255 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $845,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,910 | | Amount paid for insurance broker fees | 2255 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 165355 |
| Policy instance | 1 |
| Insurance contract or identification number | 165355 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $4,434 | | Total amount of fees paid to insurance company | USD $1,470 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $766,257 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $4,434 | | Amount paid for insurance broker fees | 1470 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
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